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loganhasson/sample-sparcs-data.csv

Last active April 27, 2017 18:16
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sample-sparcs-data.csv
Health Service Area Hospital County Operating Certificate Number Facility Id Facility Name Age Group Zip Code - 3 digits Gender Race Ethnicity Length of Stay Admit Day of Week Type of Admission Patient Disposition Discharge Year Discharge Day of Week CCS Diagnosis Code CCS Diagnosis Description CCS Procedure Code CCS Procedure Description APR DRG Code APR DRG Description APR MDC Code APR MDC Description APR Severity of Illness Code APR Severity of Illness Description APR Risk of Mortality APR Medical Surgical Description Payment Typology 1 Payment Typology 2 Payment Typology 3 Attending Provider License Number Operating Provider License Number Other Provider License Number Birth Weight Abortion Edit Indicator Emergency Department Indicator Total Charges Total Costs Claim Id
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 F White Not Span/Hispanic 4 THU Elective Home or Self Care 2012 MON 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $5511.95 $5761.93 1
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 4 FRI Urgent Short-term Hospital 2012 TUE 197 SKIN/SUBCUT TISS INFECT 0 NO PROC 383 CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS 9 Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast 3 Major Major Medical Medicare 90301264 0 N Y $4783.20 $5133.44 2
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 F White Not Span/Hispanic 3 SUN Urgent Home or Self Care 2012 WED 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $3829.15 $3911.96 3
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 0 to 17 147 F White Not Span/Hispanic 1 MON Urgent Home or Self Care 2012 TUE 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Private Health Insurance 182357 0 N Y $1108.20 $1091.92 4
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 3 FRI Elective Home or Self Care 2012 MON 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare 90301264 0 N Y $3418.18 $3580.47 5
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 0 to 17 147 F White Not Span/Hispanic 1 MON Elective Home or Self Care 2012 TUE 142 APPENDICITIS 0 NO PROC 254 OTHER DIGESTIVE SYSTEM DIAGNOSES 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Medicaid 182357 0 N Y $1386.10 $1323.67 6
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 M White Not Span/Hispanic 3 MON Elective Home or Self Care 2012 THU 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicaid 90301264 0 N Y $3373.10 $3343.02 7
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 1 SAT Elective Home or Self Care 2012 SUN 154 GASTROENTRTS NONINFCT 202 ELECTROCARDIOGRAM 249 NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING 6 Diseases and Disorders of the Digestive System 2 Moderate Moderate Medical Medicare 90301264 167816 0 N Y $1190.75 $1081.52 8
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 0 to 17 147 M White Not Span/Hispanic 1 TUE Elective Home or Self Care 2012 WED 125 BRONCHITIS 0 NO PROC 138 BRONCHIOLITIS & RSV PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Medicaid 182357 0 N N $528.04 $725.93 9
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 2 TUE Elective Home or Self Care 2012 THU 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicare 90301264 0 N Y $2661.61 $2551.86 10
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 2 FRI Elective Home or Self Care 2012 SUN 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicare 167816 0 N Y $2059.16 $2234.65 11
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 2 SUN Elective Home or Self Care 2012 TUE 122 PNEUMONIA 202 ELECTROCARDIOGRAM 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 3 Major Moderate Medical Medicare 167816 167816 0 N Y $2893.96 $3080.30 12
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M Other Race Not Span/Hispanic 2 MON Elective Home or Self Care 2012 WED 126 OTHR UPPR RESP INFECTN 0 NO PROC 113 INFECTIONS OF UPPER RESPIRATORY TRACT 3 Ear, Nose, Mouth, Throat and Craniofacial Diseases and Disorders 3 Major Moderate Medical Federal/State/Local/VA 90301264 0 N Y $2896.70 $3409.10 13
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 4 MON Elective Home or Self Care 2012 FRI 122 PNEUMONIA 202 ELECTROCARDIOGRAM 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicaid 90301264 167816 0 N Y $5464.70 $5735.61 14
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 2 MON Elective Home or Self Care 2012 WED 126 OTHR UPPR RESP INFECTN 0 NO PROC 113 INFECTIONS OF UPPER RESPIRATORY TRACT 3 Ear, Nose, Mouth, Throat and Craniofacial Diseases and Disorders 1 Minor Minor Medical Self-Pay 90301264 0 N Y $2819.75 $2989.68 15
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 2 THU Elective Home or Self Care 2012 SAT 159 URINARY TRACT INFECTION 0 NO PROC 463 KIDNEY & URINARY TRACT INFECTIONS 11 Diseases and Disorders of the Kidney and Urinary Tract 1 Minor Minor Medical Medicaid 90301264 0 N Y $2473.00 $2918.50 16
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M White Spanish/Hispanic 3 MON Urgent Home or Self Care 2012 THU 126 OTHR UPPR RESP INFECTN 0 NO PROC 113 INFECTIONS OF UPPER RESPIRATORY TRACT 3 Ear, Nose, Mouth, Throat and Craniofacial Diseases and Disorders 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $3472.25 $3874.31 17
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 148 F White Not Span/Hispanic 4 TUE Urgent Home or Self Care 2012 SAT 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $4243.59 $4506.38 18
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 5 WED Elective Hosp Basd Medicare Approved Swing Bed 2012 MON 122 PNEUMONIA 202 ELECTROCARDIOGRAM 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare 90301264 167816 0 N Y $5567.30 $6320.75 19
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 4 WED Urgent Home or Self Care 2012 SUN 231 OTHER FRACTURE 0 NO PROC 144 RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Self-Pay 90301264 0 N Y $5336.50 $5986.99 20
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 3 SAT Elective Hosp Basd Medicare Approved Swing Bed 2012 TUE 145 INTESTINAL OBSTRUCTION 0 NO PROC 247 INTESTINAL OBSTRUCTION 6 Diseases and Disorders of the Digestive System 3 Major Moderate Medical Medicare 90301264 0 N N $2260.88 $2827.88 21
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 2 SAT Urgent Home or Self Care 2012 MON 238 SURGCL/MED CARE COMPL 0 NO PROC 721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 18 Infectious and Parasitic Diseases, Systemic or Unspecified Sites 1 Minor Minor Medical Medicare 90301264 0 N Y $1794.75 $2105.19 22
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 0 to 17 148 M White Not Span/Hispanic 1 SAT Urgent Home or Self Care 2012 SUN 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Federal/State/Local/VA 182357 0 N Y $1301.70 $1182.51 23
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 2 SUN Elective Home or Self Care 2012 TUE 146 DIVERTICUL-OSIS/ITIS 0 NO PROC 244 DIVERTICULITIS & DIVERTICULOSIS 6 Diseases and Disorders of the Digestive System 2 Moderate Minor Medical Medicare 90334618 0 N Y $3384.50 $3780.71 24
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 F White Not Span/Hispanic 3 FRI Elective Home or Self Care 2012 MON 197 SKIN/SUBCUT TISS INFECT 0 NO PROC 383 CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS 9 Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast 2 Moderate Minor Medical Medicare 90301264 0 N N $3910.25 $3779.38 25
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 4 THU Urgent Hosp Basd Medicare Approved Swing Bed 2012 MON 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Major Medical Medicare 90301264 0 N Y $4005.55 $4218.31 26
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 OOS M White Not Span/Hispanic 3 SAT Elective Home or Self Care 2012 TUE 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $3977.45 $4200.93 27
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 OOS F White Not Span/Hispanic 4 TUE Urgent Home or Self Care 2012 SAT 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $3995.88 $4384.31 28
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 M White Not Span/Hispanic 2 SAT Elective Home or Self Care 2012 MON 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 3 Major Moderate Medical Medicare 90301264 0 N Y $2658.60 $2628.92 29
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 OOS F White Not Span/Hispanic 1 WED Elective Short-term Hospital 2012 THU 244 OTHER INJURY/COND 0 NO PROC 115 OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 3 Ear, Nose, Mouth, Throat and Craniofacial Diseases and Disorders 1 Minor Minor Medical Miscellaneous/Other 90301264 0 N Y $1493.39 $1492.25 30
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 2 WED Urgent Home or Self Care 2012 FRI 154 GASTROENTRTS NONINFCT 0 NO PROC 249 NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING 6 Diseases and Disorders of the Digestive System 2 Moderate Moderate Medical Medicare 90301264 0 N Y $2208.10 $2108.37 31
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 2 WED Urgent Home or Self Care 2012 FRI 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $2606.40 $2533.29 32
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 M White Not Span/Hispanic 2 MON Urgent Home or Self Care 2012 WED 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $2408.00 $2457.30 33
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Spanish/Hispanic 1 WED Urgent Home or Self Care 2012 THU 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare 90301264 0 N Y $2509.75 $2157.34 34
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 2 FRI Urgent Home or Self Care 2012 SUN 154 GASTROENTRTS NONINFCT 0 NO PROC 249 NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Self-Pay 90011849 0 N Y $1964.60 $2206.11 35
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 F White Not Span/Hispanic 2 SAT Urgent Home or Self Care 2012 MON 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Self-Pay 90011849 0 N Y $2487.60 $2567.82 36
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 0 to 17 147 M White Not Span/Hispanic 2 MON Elective Home or Self Care 2012 WED 154 GASTROENTRTS NONINFCT 0 NO PROC 249 NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Self-Pay 90301264 0 N Y $3184.60 $3228.36 37
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 2 WED Urgent Home or Self Care 2012 FRI 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Medicare 90301264 0 N Y $2876.85 $2597.13 38
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 M White Not Span/Hispanic 4 THU Elective Home or Self Care 2012 MON 231 OTHER FRACTURE 202 ELECTROCARDIOGRAM 135 MAJOR CHEST & RESPIRATORY TRAUMA 4 Diseases and Disorders of the Respiratory System 1 Minor Moderate Medical Medicare 90301264 167816 0 N Y $4176.90 $4755.41 39
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 2 THU Elective Home or Self Care 2012 SAT 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare 90301264 0 N Y $2791.45 $2704.30 40
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 3 SAT Urgent Home or Self Care 2012 TUE 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Moderate Medical Medicare 90301264 0 N Y $2729.15 $2964.82 41
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 2 THU Elective Home or Self Care 2012 SAT 146 DIVERTICUL-OSIS/ITIS 0 NO PROC 244 DIVERTICULITIS & DIVERTICULOSIS 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N N $2465.65 $2576.31 42
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 1 FRI Elective Home or Self Care 2012 SAT 146 DIVERTICUL-OSIS/ITIS 0 NO PROC 244 DIVERTICULITIS & DIVERTICULOSIS 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Private Health Insurance 90301264 0 N Y $1833.80 $1830.26 43
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 1 FRI Elective Short-term Hospital 2012 SAT 153 GI HEMORRHAGE 0 NO PROC 253 OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 6 Diseases and Disorders of the Digestive System 3 Major Extreme Medical Medicare Medicaid 90301264 0 N Y $2534.19 $2791.33 44
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 1 MON Elective Home or Self Care 2012 TUE 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Moderate Medical Medicare Private Health Insurance 90301264 0 N Y $1479.81 $1527.04 45
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 1 THU Elective Home or Self Care 2012 FRI 154 GASTROENTRTS NONINFCT 0 NO PROC 249 NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $2058.20 $2099.30 46
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 3 SUN Elective Home or Self Care 2012 WED 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Private Health Insurance 90301264 0 N Y $3594.75 $3684.13 47
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 140 F White Not Span/Hispanic 1 MON Elective Home or Self Care 2012 TUE 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare Federal/State/Local/VA 90301264 0 N Y $2221.11 $2014.66 48
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 2 MON Urgent Home or Self Care 2012 WED 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare Private Health Insurance 90301264 0 N Y $2720.81 $2902.05 49
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 1 TUE Elective Home or Self Care 2012 WED 159 URINARY TRACT INFECTION 0 NO PROC 463 KIDNEY & URINARY TRACT INFECTIONS 11 Diseases and Disorders of the Kidney and Urinary Tract 1 Minor Minor Medical Medicaid 90301264 0 N Y $2202.90 $2127.32 50
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 2 FRI Elective Home or Self Care 2012 SUN 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicare Medicaid 90301264 0 N Y $2080.05 $2316.81 51
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 M White Not Span/Hispanic 2 SUN Elective Home or Self Care 2012 TUE 122 PNEUMONIA 202 ELECTROCARDIOGRAM 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare Private Health Insurance 90301264 141658 0 N Y $3054.30 $2869.53 52
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 F White Not Span/Hispanic 2 TUE Elective Home or Self Care 2012 THU 154 GASTROENTRTS NONINFCT 0 NO PROC 249 NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $2903.35 $3038.53 53
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 148 F White Not Span/Hispanic 6 TUE Elective Home or Self Care 2012 MON 197 SKIN/SUBCUT TISS INFECT 0 NO PROC 383 CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS 9 Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast 2 Moderate Minor Medical Medicare 90301264 0 N Y $5808.45 $6232.47 54
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 2 SAT Elective Home or Self Care 2012 MON 128 ASTHMA 202 ELECTROCARDIOGRAM 141 ASTHMA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicare Medicaid 90334618 167816 0 N Y $2397.30 $2448.08 55
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 F White Not Span/Hispanic 2 TUE Elective Home or Self Care 2012 THU 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicaid 90301264 0 N Y $2562.15 $2616.27 56
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 0 to 17 147 M White Not Span/Hispanic 2 WED Elective Home or Self Care 2012 FRI 128 ASTHMA 0 NO PROC 141 ASTHMA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Blue Cross/Blue Shield 182357 0 N Y $2077.00 $2005.59 57
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 3 WED Elective Home or Self Care 2012 SAT 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare 90301264 0 N N $2850.35 $3397.86 58
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 2 SUN Elective Home or Self Care 2012 TUE 155 OTHER GI DISORDER 0 NO PROC 254 OTHER DIGESTIVE SYSTEM DIAGNOSES 6 Diseases and Disorders of the Digestive System 2 Moderate Moderate Medical Medicare Medicaid 90011849 0 N Y $2923.00 $2976.02 59
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 1 SUN Elective Home or Self Care 2012 MON 55 FLUID/ELECTRLYT DISORDR 0 NO PROC 425 ELECTROLYTE DISORDERS EXCEPT HYPOVOLEMIA RELATED 10 Endocrine, Nutritional and Metabolic Diseases and Disorders 2 Moderate Minor Medical Medicare 90011849 0 N Y $1330.10 $1368.02 60
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 1 SUN Elective Home or Self Care 2012 MON 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicare 90011849 0 N Y $1521.75 $1359.13 61
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 3 FRI Elective Home or Self Care 2012 MON 154 GASTROENTRTS NONINFCT 0 NO PROC 249 NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING 6 Diseases and Disorders of the Digestive System 2 Moderate Minor Medical Self-Pay 90011849 0 N Y $4036.60 $4872.35 62
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 M White Not Span/Hispanic 1 SUN Urgent Home or Self Care 2012 MON 154 GASTROENTRTS NONINFCT 0 NO PROC 249 NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Private Health Insurance 90301264 0 N Y $2194.30 $2276.33 63
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 0 to 17 147 M White Not Span/Hispanic 1 SAT Elective Home or Self Care 2012 SUN 125 BRONCHITIS 0 NO PROC 138 BRONCHIOLITIS & RSV PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Private Health Insurance 182357 0 N Y $955.90 $929.03 64
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 2 WED Elective Home or Self Care 2012 FRI 159 URINARY TRACT INFECTION 0 NO PROC 463 KIDNEY & URINARY TRACT INFECTIONS 11 Diseases and Disorders of the Kidney and Urinary Tract 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $2532.40 $2621.13 65
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 148 F White Not Span/Hispanic 3 THU Elective Facility w/ Custodial/Supportive Care 2012 SUN 155 OTHER GI DISORDER 0 NO PROC 254 OTHER DIGESTIVE SYSTEM DIAGNOSES 6 Diseases and Disorders of the Digestive System 1 Minor Moderate Medical Medicare Private Health Insurance Medicaid 90301264 0 N Y $2549.90 $2759.82 66
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 140 F White Not Span/Hispanic 4 THU Urgent Skilled Nursing Home 2012 MON 58 OTHR NUTRITION DISORDER 202 ELECTROCARDIOGRAM 421 MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 10 Endocrine, Nutritional and Metabolic Diseases and Disorders 3 Major Major Medical Medicare Medicaid 90301264 141658 0 N N $3221.75 $4021.20 67
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 2 THU Elective Home or Self Care 2012 SAT 55 FLUID/ELECTRLYT DISORDR 202 ELECTROCARDIOGRAM 422 HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 10 Endocrine, Nutritional and Metabolic Diseases and Disorders 2 Moderate Minor Medical Medicare 90301264 141658 0 N Y $2085.80 $2286.35 68
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 M White Not Span/Hispanic 1 SAT Elective Short-term Hospital 2012 SUN 127 COPD 202 ELECTROCARDIOGRAM 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare 90301264 141658 0 N Y $1969.15 $1723.29 69
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 2 MON Elective Home or Self Care 2012 WED 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $2814.85 $2763.18 70
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 3 WED Elective Home or Self Care 2012 SAT 145 INTESTINAL OBSTRUCTION 0 NO PROC 247 INTESTINAL OBSTRUCTION 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Medicare Private Health Insurance 90301264 0 N Y $2625.70 $3031.06 71
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 1 THU Elective Home or Self Care 2012 FRI 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Private Health Insurance Medicare 90301264 0 N Y $2449.60 $2168.24 72
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 2 MON Elective Home or Self Care 2012 WED 159 URINARY TRACT INFECTION 0 NO PROC 463 KIDNEY & URINARY TRACT INFECTIONS 11 Diseases and Disorders of the Kidney and Urinary Tract 1 Minor Minor Medical Medicaid 182357 0 N Y $1721.55 $1702.94 73
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 M White Not Span/Hispanic 1 WED Elective Home or Self Care 2012 THU 128 ASTHMA 0 NO PROC 141 ASTHMA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Private Health Insurance 90301264 0 N Y $1495.55 $1488.00 74
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M White Not Span/Hispanic 1 FRI Elective Home or Self Care 2012 SAT 244 OTHER INJURY/COND 0 NO PROC 815 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 21 Poisonings, Toxic Effects, Other Injuries and Other Complications of Treatment 2 Moderate Minor Medical Private Health Insurance Self-Pay 90334618 0 N Y $1083.75 $995.60 75
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 2 FRI Elective Home or Self Care 2012 SUN 118 PHLEBITIS 0 NO PROC 197 PERIPHERAL & OTHER VASCULAR DISORDERS 5 Diseases and Disorders of the Circulatory System 1 Minor Minor Medical Blue Cross/Blue Shield 90334618 0 N Y $1753.25 $1909.13 76
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 140 M White Not Span/Hispanic 3 SAT Elective Short-term Hospital 2012 TUE 50 DIABETES W/COMPL 0 NO PROC 351 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 8 Diseases and Disorders of the Musculoskeletal System and Conn Tissue 2 Moderate Moderate Medical Medicare Medicaid 90334618 0 N N $3168.75 $3413.58 77
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F Black/African American Not Span/Hispanic 3 FRI Elective Skilled Nursing Home 2012 MON 58 OTHR NUTRITION DISORDER 202 ELECTROCARDIOGRAM 421 MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 10 Endocrine, Nutritional and Metabolic Diseases and Disorders 3 Major Major Medical Medicare Medicaid 90301264 167816 0 N N $2998.00 $3672.47 78
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 3 FRI Elective Skilled Nursing Home 2012 MON 50 DIABETES W/COMPL 0 NO PROC 468 OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 11 Diseases and Disorders of the Kidney and Urinary Tract 2 Moderate Major Medical Medicare Medicaid 90301264 0 N N $3742.00 $3912.23 79
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 M White Not Span/Hispanic 3 MON Elective Hosp Basd Medicare Approved Swing Bed 2012 THU 233 INTRACRANIAL INJURY 0 NO PROC 55 HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 1 Diseases and Disorders of the Nervous System 2 Moderate Moderate Medical Medicare Private Health Insurance 90301264 0 N N $2964.40 $3374.48 80
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 1 THU Elective Expired 2012 THU 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare Medicaid 90301264 0 N N $691.75 $989.23 81
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M White Not Span/Hispanic 2 WED Elective Home or Self Care 2012 FRI 128 ASTHMA 0 NO PROC 141 ASTHMA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Self-Pay 90301264 0 N Y $2461.15 $2394.92 82
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 M White Not Span/Hispanic 3 FRI Elective Home or Self Care 2012 MON 128 ASTHMA 0 NO PROC 141 ASTHMA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $2720.55 $3020.90 83
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older OOS M White Not Span/Hispanic 3 SAT Elective Home or Self Care 2012 TUE 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Medicare Blue Cross/Blue Shield 90301264 0 N Y $2976.50 $3278.68 84
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 1 MON Elective Home or Self Care 2012 TUE 95 OTHER NERVE DISORDER 0 NO PROC 861 SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 23 Rehabilitation, Aftercare, Other Factors Influencing Health Status and Other Health Service Contacts 2 Moderate Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $1115.60 $1162.69 85
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 2 WED Elective Home or Self Care 2012 FRI 118 PHLEBITIS 0 NO PROC 197 PERIPHERAL & OTHER VASCULAR DISORDERS 5 Diseases and Disorders of the Circulatory System 2 Moderate Minor Medical Medicare 167816 0 N Y $3214.10 $3452.73 86
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 148 F White Spanish/Hispanic 4 SAT Elective Home or Self Care 2012 WED 159 URINARY TRACT INFECTION 0 NO PROC 463 KIDNEY & URINARY TRACT INFECTIONS 11 Diseases and Disorders of the Kidney and Urinary Tract 2 Moderate Minor Medical Self-Pay 167816 0 N Y $4806.25 $5169.01 87
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 OOS F White Not Span/Hispanic 3 TUE Elective Home or Self Care 2012 FRI 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicare Blue Cross/Blue Shield 90301264 0 N Y $3770.10 $4090.10 88
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older OOS F White Not Span/Hispanic 5 SUN Elective Home or Self Care 2012 FRI 197 SKIN/SUBCUT TISS INFECT 0 NO PROC 383 CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS 9 Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast 2 Moderate Minor Medical Private Health Insurance 90301264 0 N Y $4341.60 $4974.09 89
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 M White Not Span/Hispanic 3 MON Elective Skilled Nursing Home 2012 THU 55 FLUID/ELECTRLYT DISORDR 0 NO PROC 425 ELECTROLYTE DISORDERS EXCEPT HYPOVOLEMIA RELATED 10 Endocrine, Nutritional and Metabolic Diseases and Disorders 2 Moderate Moderate Medical Medicare Private Health Insurance Medicaid 90301264 0 N N $2183.75 $2638.75 90
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 2 WED Elective Skilled Nursing Home 2012 FRI 157 ACUTE RENAL FAILURE 0 NO PROC 460 RENAL FAILURE 11 Diseases and Disorders of the Kidney and Urinary Tract 3 Major Major Medical Medicare Medicaid 90301264 0 N N $1469.50 $1783.67 91
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 148 M White Not Span/Hispanic 2 FRI Urgent Home or Self Care 2012 SUN 127 COPD 0 NO PROC 140 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicare Medicaid 90301264 0 N Y $2981.80 $2876.09 92
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 1 MON Urgent Left Against Medical Advice 2012 TUE 155 OTHER GI DISORDER 0 NO PROC 254 OTHER DIGESTIVE SYSTEM DIAGNOSES 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Medicaid 90301264 0 N Y $1560.55 $1641.51 93
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 3 TUE Elective Hosp Basd Medicare Approved Swing Bed 2012 FRI 157 ACUTE RENAL FAILURE 0 NO PROC 460 RENAL FAILURE 11 Diseases and Disorders of the Kidney and Urinary Tract 3 Major Major Medical Medicare Private Health Insurance 90301264 0 N N $2250.75 $2692.37 94
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M White Not Span/Hispanic 1 TUE Elective Left Against Medical Advice 2012 WED 154 GASTROENTRTS NONINFCT 0 NO PROC 249 NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Private Health Insurance Self-Pay 90301264 0 N Y $1558.80 $1669.38 95
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M White Not Span/Hispanic 2 THU Urgent Home or Self Care 2012 SAT 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Private Health Insurance 90301264 0 N Y $2568.90 $2495.58 96
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 140 M White Not Span/Hispanic 2 SAT Elective Skilled Nursing Home 2012 MON 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare Medicaid 90301264 0 N N $2157.50 $2634.34 97
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M White Not Span/Hispanic 3 WED Urgent Home or Self Care 2012 SAT 118 PHLEBITIS 202 ELECTROCARDIOGRAM 197 PERIPHERAL & OTHER VASCULAR DISORDERS 5 Diseases and Disorders of the Circulatory System 1 Minor Minor Medical Self-Pay 90301264 167816 0 N Y $2822.10 $3283.28 98
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 F White Not Span/Hispanic 1 THU Urgent Home or Self Care 2012 FRI 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Medicaid 90301264 0 N Y $1567.00 $1484.93 99
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 3 SUN Elective Short-term Hospital 2012 WED 80 MULTIPLE SCLEROSIS 202 ELECTROCARDIOGRAM 43 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 1 Diseases and Disorders of the Nervous System 2 Moderate Minor Medical Medicare Medicaid 90301264 141658 0 N N $2039.25 $2613.53 100
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 M White Not Span/Hispanic 1 THU Elective Home or Self Care 2012 FRI 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Moderate Medical Medicare Private Health Insurance 141658 0 N Y $1865.70 $1652.28 101
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M White Not Span/Hispanic 2 TUE Urgent Home or Self Care 2012 THU 145 INTESTINAL OBSTRUCTION 202 ELECTROCARDIOGRAM 247 INTESTINAL OBSTRUCTION 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 167816 0 N Y $2406.25 $2790.10 102
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 M White Not Span/Hispanic 2 WED Elective Short-term Hospital 2012 FRI 122 PNEUMONIA 202 ELECTROCARDIOGRAM 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 3 Major Major Medical Medicare Private Health Insurance 90301264 167816 0 N Y $2766.60 $2758.58 103
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M White Not Span/Hispanic 4 SUN Elective Short-term Hospital 2012 THU 197 SKIN/SUBCUT TISS INFECT 0 NO PROC 383 CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS 9 Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast 3 Major Minor Medical Self-Pay 90301264 0 N Y $3929.85 $4419.35 104
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 4 SUN Elective Home or Self Care 2012 THU 99 HYPERTENSION W/COMPL 0 NO PROC 199 HYPERTENSION 5 Diseases and Disorders of the Circulatory System 2 Moderate Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $3061.65 $3561.04 105
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 M White Not Span/Hispanic 4 TUE Urgent Home or Self Care 2012 SAT 122 PNEUMONIA 202 ELECTROCARDIOGRAM 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicare Medicaid 90301264 90301264 0 N Y $4099.90 $4508.51 106
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 F White Not Span/Hispanic 2 TUE Urgent Home or Self Care 2012 THU 146 DIVERTICUL-OSIS/ITIS 0 NO PROC 244 DIVERTICULITIS & DIVERTICULOSIS 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Private Health Insurance Medicaid 90301264 0 N Y $2280.10 $2494.06 107
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 148 M White Not Span/Hispanic 5 WED Elective Home or Self Care 2012 MON 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare Private Health Insurance 90301264 0 N Y $5584.00 $6469.52 108
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 M White Not Span/Hispanic 1 SAT Elective Home or Self Care 2012 SUN 154 GASTROENTRTS NONINFCT 0 NO PROC 249 NON-BACTERIAL GASTROENTERITIS, NAUSEA & VOMITING 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Self-Pay 167816 0 N Y $1339.00 $1293.75 109
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 1 MON Elective Home or Self Care 2012 TUE 159 URINARY TRACT INFECTION 0 NO PROC 463 KIDNEY & URINARY TRACT INFECTIONS 11 Diseases and Disorders of the Kidney and Urinary Tract 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $1854.95 $1907.95 110
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 2 FRI Elective Home or Self Care 2012 SUN 133 OTHR LOWR RESP DISEASE 0 NO PROC 142 INTERSTITIAL LUNG DISEASE 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Self-Pay 90301264 0 N Y $1937.65 $1973.55 111
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 3 FRI Elective Short-term Hospital 2012 MON 145 INTESTINAL OBSTRUCTION 0 NO PROC 247 INTESTINAL OBSTRUCTION 6 Diseases and Disorders of the Digestive System 3 Major Major Medical Medicare Private Health Insurance 90301264 0 N N $2529.70 $3256.22 112
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M White Not Span/Hispanic 1 THU Urgent Home or Self Care 2012 FRI 236 OPEN WOUND EXTREMITIES 0 NO PROC 384 CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 9 Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast 1 Minor Minor Medical Miscellaneous/Other Blue Cross/Blue Shield 90301264 0 N Y $1252.80 $1262.94 113
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 OOS F White Not Span/Hispanic 2 THU Urgent Home or Self Care 2012 SAT 128 ASTHMA 202 ELECTROCARDIOGRAM 141 ASTHMA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Private Health Insurance 90301264 167816 0 N Y $1987.00 $2201.52 114
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 1 MON Elective Short-term Hospital 2012 TUE 159 URINARY TRACT INFECTION 0 NO PROC 463 KIDNEY & URINARY TRACT INFECTIONS 11 Diseases and Disorders of the Kidney and Urinary Tract 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $1826.60 $1836.25 115
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 4 MON Elective Home or Self Care 2012 FRI 80 MULTIPLE SCLEROSIS 0 NO PROC 43 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 1 Diseases and Disorders of the Nervous System 1 Minor Minor Medical Medicare Medicaid 90301264 0 N Y $3203.00 $3921.95 116
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 3 TUE Elective Home or Self Care 2012 FRI 145 INTESTINAL OBSTRUCTION 0 NO PROC 247 INTESTINAL OBSTRUCTION 6 Diseases and Disorders of the Digestive System 4 Extreme Extreme Medical Medicare 90301264 0 N N $1973.50 $2463.26 117
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 2 WED Elective Home or Self Care 2012 FRI 145 INTESTINAL OBSTRUCTION 0 NO PROC 247 INTESTINAL OBSTRUCTION 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Medicare Private Health Insurance 90301264 0 N Y $2477.50 $2784.84 118
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M White Not Span/Hispanic 2 SAT Urgent Home or Self Care 2012 MON 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Self-Pay 90301264 0 N Y $2152.80 $2177.00 119
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 3 MON Urgent Home or Self Care 2012 THU 122 PNEUMONIA 202 ELECTROCARDIOGRAM 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Blue Cross/Blue Shield 90301264 167816 0 N Y $2695.10 $3109.03 120
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 F White Not Span/Hispanic 3 TUE Elective Home or Self Care 2012 FRI 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicare 90301264 0 N Y $3614.65 $4191.15 121
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 148 M White Not Span/Hispanic 2 SAT Elective Home or Self Care 2012 MON 159 URINARY TRACT INFECTION 0 NO PROC 463 KIDNEY & URINARY TRACT INFECTIONS 11 Diseases and Disorders of the Kidney and Urinary Tract 2 Moderate Moderate Medical Medicare Private Health Insurance 90334618 0 N Y $2004.50 $1995.90 122
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 140 M White Not Span/Hispanic 2 WED Urgent Home or Self Care 2012 FRI 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicaid 90301264 0 N Y $2326.00 $2448.10 123
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 2 FRI Elective Home or Self Care 2012 SUN 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicare 90301264 0 N Y $2241.00 $2505.31 124
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 147 M White Not Span/Hispanic 2 SUN Elective Home or Self Care 2012 TUE 152 PANCREAS DISORDER 0 NO PROC 282 DISORDERS OF PANCREAS EXCEPT MALIGNANCY 7 Diseases and Disorders of the Hepatobiliary System and Pancreas 1 Minor Minor Medical Blue Cross/Blue Shield 167816 0 N Y $2188.00 $2475.56 125
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 1 WED Elective Left Against Medical Advice 2012 THU 145 INTESTINAL OBSTRUCTION 0 NO PROC 247 INTESTINAL OBSTRUCTION 6 Diseases and Disorders of the Digestive System 1 Minor Minor Medical Medicaid 167816 0 N Y $1015.15 $955.18 126
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 148 F White Not Span/Hispanic 1 THU Urgent Home or Self Care 2012 FRI 8 OTHER INFECTIONS 0 NO PROC 346 CONNECTIVE TISSUE DISORDERS 8 Diseases and Disorders of the Musculoskeletal System and Conn Tissue 2 Moderate Minor Medical Medicaid 182357 0 N Y $1232.00 $1027.05 127
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 1 THU Elective Skilled Nursing Home 2012 FRI 157 ACUTE RENAL FAILURE 0 NO PROC 460 RENAL FAILURE 11 Diseases and Disorders of the Kidney and Urinary Tract 3 Major Moderate Medical Medicare Private Health Insurance 90301264 0 N N $910.75 $1181.10 128
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 1 THU Urgent Home or Self Care 2012 FRI 159 URINARY TRACT INFECTION 0 NO PROC 463 KIDNEY & URINARY TRACT INFECTIONS 11 Diseases and Disorders of the Kidney and Urinary Tract 1 Minor Minor Medical Blue Cross/Blue Shield 90301264 0 N Y $1447.25 $1397.35 129
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 F White Not Span/Hispanic 2 SAT Elective Home or Self Care 2012 MON 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Self-Pay 90334618 0 N Y $1871.75 $1916.66 130
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 0 to 17 147 M White Not Span/Hispanic 2 MON Urgent Home or Self Care 2012 WED 128 ASTHMA 0 NO PROC 141 ASTHMA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Medicaid 182357 0 N Y $2032.45 $1973.77 131
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 50 to 69 148 F White Not Span/Hispanic 2 TUE Elective Home or Self Care 2012 THU 80 MULTIPLE SCLEROSIS 0 NO PROC 43 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 1 Diseases and Disorders of the Nervous System 1 Minor Minor Medical Medicare 90301264 0 N N $1277.25 $1807.78 132
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 F White Not Span/Hispanic 1 WED Elective Home or Self Care 2012 THU 128 ASTHMA 0 NO PROC 141 ASTHMA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Medicaid 90301264 0 N N $974.00 $1211.59 133
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 3 SAT Elective Home or Self Care 2012 TUE 122 PNEUMONIA 202 ELECTROCARDIOGRAM 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare 90011849 141658 0 N Y $3072.75 $3141.39 134
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 M White Not Span/Hispanic 3 SUN Elective Home or Self Care 2012 WED 118 PHLEBITIS 0 NO PROC 197 PERIPHERAL & OTHER VASCULAR DISORDERS 5 Diseases and Disorders of the Circulatory System 1 Minor Minor Medical Self-Pay 90011849 0 N Y $2134.00 $2497.34 135
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 18 to 29 147 F White Not Span/Hispanic 2 SUN Urgent Short-term Hospital 2012 TUE 128 ASTHMA 202 ELECTROCARDIOGRAM 141 ASTHMA 4 Diseases and Disorders of the Respiratory System 2 Moderate Minor Medical Self-Pay 167816 167816 0 N Y $2524.05 $2558.87 136
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 30 to 49 147 F White Not Span/Hispanic 4 THU Elective Home or Self Care 2012 MON 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Self-Pay 167816 0 N Y $3607.85 $3743.88 137
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 70 or Older 147 F White Not Span/Hispanic 4 SAT Elective Hosp Basd Medicare Approved Swing Bed 2012 WED 122 PNEUMONIA 0 NO PROC 139 OTHER PNEUMONIA 4 Diseases and Disorders of the Respiratory System 2 Moderate Moderate Medical Medicare Blue Cross/Blue Shield 90301264 0 N Y $2997.80 $3493.82 138
Western NY Allegany 226700 37 Cuba Memorial Hospital Inc 0 to 17 OOS F White Not Span/Hispanic 2 WED Elective Home or Self Care 2012 FRI 128 ASTHMA 0 NO PROC 141 ASTHMA 4 Diseases and Disorders of the Respiratory System 1 Minor Minor Medical Private Health Insurance 182357 0 N Y $1855.55 $2022.88 139
Western NY Allegany 228000 39 Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 50 to 69 148 F White Not Span/Hispanic 3 TUE Elective Home or Self Care 2012 FRI 171 MENSTRUAL DISORDER 124 HYSTERECTOMY; AB/VAG 513 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 13 Diseases and Disorders of the Female Reproductive System 1 Minor Minor Surgical Blue Cross/Blue Shield 247101 247101 0 N N $10247.00 $4282.02 140
Western NY Allegany 228000 39 Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 18 to 29 147 F White Not Span/Hispanic 1 TUE Elective Home or Self Care 2012 WED 171 MENSTRUAL DISORDER 124 HYSTERECTOMY; AB/VAG 513 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 13 Diseases and Disorders of the Female Reproductive System 1 Minor Minor Surgical Medicaid 114112 114112 0 N N $8076.50 $3127.88 141
Western NY Allegany 228000 39 Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 70 or Older 147 F White Not Span/Hispanic 2 TUE Elective Home or Self Care 2012 THU 170 FEMALE GENITL PROLAPSE 124 HYSTERECTOMY; AB/VAG 513 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 13 Diseases and Disorders of the Female Reproductive System 2 Moderate Minor Surgical Medicare Medicare 247101 247101 0 N N $16643.00 $6081.55 142
Western NY Allegany 228000 39 Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 30 to 49 147 F White Not Span/Hispanic 3 TUE Elective Home or Self Care 2012 FRI 189 PREVIOUS C-SECTION 134 CESAREAN SECTION 540 CESAREAN DELIVERY 14 Pregnancy, Childbirth and the Puerperium 1 Minor Minor Surgical Blue Cross/Blue Shield 247101 247101 0 N N $7324.50 $5380.68 143
Western NY Allegany 228000 39 Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 30 to 49 148 F White Not Span/Hispanic 3 TUE Elective Home or Self Care 2012 FRI 171 MENSTRUAL DISORDER 124 HYSTERECTOMY; AB/VAG 513 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 13 Diseases and Disorders of the Female Reproductive System 1 Minor Minor Surgical Medicaid 114112 114112 0 N N $10838.75 $4655.04 144
Western NY Allegany 228000 39 Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 30 to 49 OOS F White Not Span/Hispanic 3 FRI Elective Home or Self Care 2012 MON 189 PREVIOUS C-SECTION 134 CESAREAN SECTION 540 CESAREAN DELIVERY 14 Pregnancy, Childbirth and the Puerperium 1 Minor Minor Surgical Medicaid 247101 247101 0 N N $7988.50 $5620.06 145
Western NY Allegany 228000 39 Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 50 to 69 148 F White Not Span/Hispanic 2 TUE Elective Home or Self Care 2012 THU 26 CERVICAL CANCER 124 HYSTERECTOMY; AB/VAG 513 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 13 Diseases and Disorders of the Female Reproductive System 2 Moderate Minor Surgical Medicaid 247101 247101 0 N N $10033.75 $5683.92 146
Western NY Allegany 228000 39 Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 50 to 69 147 F White Not Span/Hispanic 1 TUE Elective Home or Self Care 2012 WED 170 FEMALE GENITL PROLAPSE 124 HYSTERECTOMY; AB/VAG 513 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 13 Diseases and Disorders of the Female Reproductive System 1 Minor Minor Surgical Federal/State/Local/VA 114112 114112 0 N N $14864.75 $5234.82 147
Western NY Allegany 228000 39 Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 70 or Older 148 M White Not Span/Hispanic 14 FRI Emergency Home w/ Home Health Services 2012 FRI 2 SEPTICEMIA 216 RESP INTUB/MECH VENTIL 720 SEPTICEMIA & DISSEMINATED INFECTIONS 18 Infectious and Parasitic Diseases, Systemic or Unspecified Sites 3 Major Major Medical Medicare Private Health Insurance 173875 60305382 0 N Y $32284.75 $15748.43 148
Western NY Allegany 228000 39 Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp 50 to 69 148 F White Not Span/Hispanic 2 TUE Elective Home or Self Care 2012 THU 175 OT FEMALE GENITL DISORD 119 OOPHORECTOMY; UNI/BILAT 513 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 13 Diseases and Disorders of the Female Reproductive System 1 Minor Minor Surgical Blue Cross/Blue Shield 247101 247101 0 N N $6835.50 $4472.41 149
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